Study of the Handling of Referrals for Supplemental Care by Military Medical Treatment Facilities with Proposed Changes to Improve the Handling of Such Referrals at Cutler Army Community Hospital, Fort Devens, Massachusetts

摘要

Army Medical Treatment Facilities often have to refer patients to civilian health care providers for services which are beyond the capabilities of the Army facility. These referrals fall into two categories: 1. CHAMPUS referrals and 2. Supplemental Care referrals. Supplemental care referrals, used whenever non-elective specialized treatment procedures, consultations, diagnostic tests (like CT scans, EEGs, or others unavailable at the Army MTF), and supplies are required to augment the overall course of care being provided by the Army facility, are the focus of this study. It examines the problems with Cutler's existing system in 1982 and sets forth the optimal feasible system for handling and monitoring that hospital's supplemental care referrals. A draft MEDDAC Regulation is also prepared. Keywords: Medical services, Military medicine. (sdw)